# INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians Park Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598718355
- **Authorized official:** DR. F. MICHAEL CALDWELL M.D. (PHYSICIAN)
- **Authorized official phone:** (573) 727-5500

## Contact information

- **Practice address:** 225 PHYSICIANS PARK, SUITE 400, POPLAR BLUFF, MO 63901-3956
- **Practice address phone:** (573) 727-5500
- **Practice address fax:** (573) 778-0581
- **Mailing address:** 225 PHYSICIANS PARK, POPLAR BLUFF, MO 63901-3956
- **Mailing address phone:** (573) 727-5500
- **Mailing address fax:** (573) 778-0581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 11/14/2008